The Department of Anesthesia and Pain Management of the University Health Network and the University of Toronto offers a 12-month fellowship training
program in Regional Anesthesia and Acute Pain Management at the Toronto Western Hospital. Our training program aims to confer the clinical skills and
academic proficiency for the consultant regional anesthesiologist in modern anesthetic practice.

The Toronto Western Hospital performs approximately 3,000 regional anesthesia procedures each year. Fellows will gain experience in a
variety of regional anesthesia techniques performed for orthopedics, plastics, and general surgery, under the direct supervision of our
experienced attending regional anesthesiologists. Fellows will learn and acquire expertise in central neuraxial blocks, upper and lower
extremity block and continuous peripheral nerve block catheter infusion techniques. There is a large emphasis on the use of ultrasound
guidance with or without neurostimulation, and the acquisition of the required anatomical knowledge and imaging skills. Fellows will be
exposed to the organizational aspects of running a regional service based around a block room model. In addition to the block room, fellows
will also participate in the Acute Pain Service and the care of other non-regional anesthesia cases (neurosurgery, spine surgery, bariatric
surgery, etc.) during the training year.

There is a large academic focus in this fellowship and approximately 20% of working hours are allocated to research and educational activities. Under
supervision, regional anesthesia fellows are expected to initiate at least one research project and participate in at least one ongoing project during
the training year. There are usually ample opportunities to contribute to monographs, book chapters, and other scientific educational material. Information
on areas of current research can be obtained by contacting the Program Director. Fellows are encouraged to attend and present their research at a national
or international meeting during the year.

Regular Regional rounds are held at the departmental level throughout the year which will include journal discussions, case discussions, and research or didactic
presentations. Fellows will participate in these rounds to gain experience in presentation and teaching. Teaching is a core component of the fellowship, and
fellows will regularly instruct and supervise residents in the block room. The group conducts several regional anesthesia workshops throughout the year in which
fellows are expected to participate, first as attendees, and then as faculty.

Prospective fellows must have specialty certification in anesthesiology, and have completed training equivalent to that stipulated by the Royal College of Physicians and Surgeons of Canada.

Applications must be received at least 18 months in advance of the fellowship start date, i.e. before January 1st of the preceding year.

Applicants must submit all of the following:

a letter of intent stating personal goals and objectives in undertaking the fellowship,

an up-to-date curriculum vitae, and

three letters of reference from recent or current supervisors.

Late and incomplete applications will not be considered.

Applications will be reviewed shortly after the due date and short-listed applicants will be invited for interview. Candidates are strongly encouraged to make an
in-person visit to the department to ascertain if it meets their training objectives and personal goals.

Successful applicants will be notified at least 12 months in advance of the commencement date.